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Published on: November 11, 2017
[Susac syndrome, retinocochleocerebral microangiopathy: contribution of MRI]
F Le Moigne1, J-L Lamboley, T Vitry
1Service d'imagerie médicale, hôpital d'instruction des armées Desgenettes, 69003 Lyon, France. frlemoigne@aliceadsl.fr
Abstract:
This is a new case of Susac syndrome in a 27-year-old woman with polymorphic neurological disorders, her brain MRI showed multifocal hyperintense signals on T2-weighted images with possible effects on the corpus callosum. However, visualization of an occlusion in the retinal arterial branch of the right eye and hypoacusia on the right side allowed confirmation of the diagnosis. In this case report, we describe the imaging aspects of Susac syndrome and demonstrate that brain MRI allows the syndrome to be diagnosed at an early stage.
Insights
This case report highlights Susac syndrome, a rare neurological disorder. Early diagnosis is possible with brain MRI, even with varied neurological symptoms.
Area of Science:
- Neurology
- Radiology
- Ophthalmology
Background:
- Susac syndrome is a rare autoimmune condition affecting the brain, retina, and inner ear.
- It typically presents with a triad of encephalopathy, retinal artery occlusions, and sensorineural hearing loss.
Observation:
- A 27-year-old woman presented with diverse neurological symptoms.
- Brain MRI revealed multifocal T2-hyperintense signals, particularly affecting the corpus callosum.
- Retinal arterial branch occlusion and right-sided hypoacusis were key diagnostic indicators.
Findings:
- The case demonstrates the characteristic imaging findings of Susac syndrome.
- Brain MRI is crucial for identifying multifocal lesions and aiding early diagnosis.
- The combination of neurological, visual, and auditory symptoms confirmed the diagnosis.
Implications:
- This case underscores the importance of comprehensive neuroimaging in diagnosing Susac syndrome.
- Early MRI detection can facilitate timely intervention and management of this rare condition.
- Understanding the imaging spectrum is vital for neurologists and radiologists managing Susac syndrome.
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